Student Device Form
If you have more than one child in grades 4-8, please fill out this form once PER CHILD.
It is required that this form is filled out before your child is able to use a school device.
Form is due no later than September 7th
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Student First Name: *
Student Last Name: *
Student Grade *
I acknowledge that Sacred Hearts School Student 1:1 and Technology Acceptable Use Handbook has been provided to me, that I have read it, and that I understand and agree to comply with the rules and procedures outlined. This can be found on the school website at:  *
Loss/Theft/Damage Responsibility of Student Device:
There is no up front charge for the use of the iPad or Chromebook to students/parents.   Students are expected to take appropriate care of the school-issued device and all accessories.  If a device or accessory is damaged in any way, lost or stolen, it is the responsibility of the student/parent to cover the repair or replacement costs.  At the end of the school year, the originally assigned device and accessories must be returned to school in good working order.  Families will be charged for replacements. The following are estimated costs for repair or replacement: New iPad Air:  $299, iPad Keyboard Case: $45, iPad Charging block $29, iPad Cord: $19, Chromebook $349 Chromebook power adapter $15.
Families have two choices should there be a need for repair or replacement:
1.     Device insurance: You can purchase insurance for your child’s device. The cost is annual, has zero deductible, and covers all accidental damage, loss and theft of the device on and off the school grounds for unlimited incidents throughout the school year. It does NOT cover misuse or vandalism, which Sacred Hearts School will determine. The cost is $45.00 per device. We highly recommend this option for families. The insurance covers the device only.  It does not cover the replacement cost of the accessories.  All must be returned in good condition at the end of the year. Families will be charged for the replacement of the accessories if damaged or returned in poor condition.
2.     In the event of needed repair or replacement of device, the family of the student given the device will pay for the entire cost if they don’t elect the insurance coverage.
Insurance *
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